infant

The nurse is reinforcing education with parents about therapeutic management of their neonate diagnosed with congenital hypothyroidism. Which response by a parent would indicate the need for further education?

"As my baby grows, his thyroid gland will mature and he won't need medications."

The parents of an 11-month-old are concerned because the frequency of their infant's bowel movements has decreased from three to four each day to one to two each day. Which response by the nurse is best?

"By age 11 months, most infants have one to two bowel movements per day."

A 9-month-old admitted with pneumonia cries when his parents aren't holding him. He's also unable to sleep. The parents have two other young children at home and can't stay with the infant continually. Which suggestion by the nurse might help the infant sleep?

"Can one of you stay and the other one go home and care for your other children?"

A nurse is caring for a neonate who has hypospadias. His parents are asking about having the baby circumcised before discharge. When reinforcing education with the parents about their child's condition, what should the nurse tell them?

"Circumcision is delayed as the foreskin is needed for surgical correction.

After the nurse has discussed the causes of diabetes insipidus with the parents of a neonate, which statement made by a parent indicates the need for further education?

"Drinking alcohol during my pregnancy caused this condition."

An infant is brought to the emergency department and pronounced dead with the preliminary finding of sudden infant death syndrome (SIDS). Which question to the parents is most appropriate?

"How did the infant look when you found him?"

A nurse is teaching the parents of an infant with clubfeet about cast care. Which statement by the father indicates the need for further teaching?

"Immunizations will have to be delayed until the casts come off."

For the last 6 days, a 7-month-old infant has been receiving amoxicillin trihydrate to treat an ear infection. Now the parents report redness in the diaper area and small, red patches on the infant's inner thighs and buttocks. After diagnosing Candida albicans, the physician prescribes topical nystatin to be applied to the perineum four times daily. Medication teaching should include which instruction?

"Inspect your infant's mouth for white patches."

A health care provider diagnoses a 6 month old with gastroenteritis and dehydration following a history of diarrhea for 3 days. The nurse is reinforcing instruction for the parents on rehydration techniques. Which instruction should the nurse reinforce? Select all that apply.

-"Offer 5 to 10 mL fluid increments." -"Encourage an electrolyte replacement." -"Increase fluid amounts as tolerated."

A parent is planning to enroll a 9-month-old infant in a day-care facility. The parent asks a nurse what to look for as indicators that the facility is adhering to good infection control measures. The nurse identifies which as an indication of meeting proper infection control standards? Select all that apply.

-Soiled diapers are discarded in covered receptacles. -Disposable papers are used on the diaper-changing surfaces. -Facilities for hand hygiene are located in every classroom.

An infant, diagnosed with bronchiolitis, is ordered a mist tent with oxygen. The parents question how a mist tent with oxygen can help their infant. The nurse is most correct to identify which? Select all that apply.

-assists in decreasing bronchial edema -assists in improving cough -assists in improving oxygen saturation

The nurse is preparing to feed the infant. Which actions by the infant indicate readiness to feed? Select all that apply.

-hand to mouth -rooting -mouthing

A charge nurse is making client care assignments for the day. Which client would be most appropriate to assign a licensed practical nurse (LPN)?

6-year-old child 2-day post-op appendectomy with a surgical drain

The charge nurse is making client care assignments. Which client is most appropriate for a licensed practical nurse?

A stable 6-month-old infant with pneumonia

The nurse assesses a neonate with esophageal atresia for signs of dehydration. Which finding should the nurse expect to see?

A sunken anterior fontanel

The nurse is working in the emergency room and is assigned to a client with necrotizing enterocolitis. When gathering data, what finding would be expected?

Abdominal distention and gastric retention

The parent of a 6-month-old infant with atopic dermatitis asks for advice on bathing the child. Which instructions or information should the nurse give to the parent?

Bathe the infant every other day.

Which intervention by the nurse would be most helpful when discussing hypospadias with the parents of an infant with this defect?

Be there to listen to the parents' concerns.

An infant, age 3 months, undergoes surgical repair of a cleft lip. After surgery, the nurse should use which equipment to feed the infant?

Bulb syringe with tubing

A nurse is feeding a child with a cleft palate. Which nursing action would be a priority?

Burp the infant often.

The nurse is caring for an infant diagnosed with pyloric stenosis. Which intervention should the nurse perform to help prevent vomiting?

Handle the infant minimally after feedings.

How should a nurse position an infant when administering an oral medication?

Held in the bottle- or breast-feeding position

Which sexually transmitted disease is preventable through infant vaccination?

Hepatitis B

After surgery to repair a cleft lip, an infant has a Logan bar in place. Which postoperative nursing action is appropriate?

Holding the infant semi-upright during feedings

A 3-month-old admitted to the pediatric unit with meningococcal meningitis has just been assessed by the registered nurse. Which nursing intervention has the highest priority at this time?

Instituting droplet precautions

The nurse is observing an infant who may have acute bacterial meningitis. Which finding should the nurse anticipate?

Irritability, fever, and vomiting

A nurse is caring for an infant with meningitis. Which nursing action is a priority?

Maintain an adequate airway.

An infant is hospitalized for treatment of nonorganic failure to thrive. Which nursing action is most appropriate for this child?

Maintaining a consistent, structured environment

An infant goes into cardiac arrest. When delivering chest compressions as part of cardiopulmonary resuscitation (CPR), where should the rescuer place her fingers?

One fingerbreadth below the nipple line, directly over the sternum

Which intervention should be included in the plan of care for a 6-month-old infant with mild dehydration related to diarrhea and vomiting?

Oral electrolyte replacement solutions, breast milk, or lactose-free formula

The nurse is collecting data on an 8-month-old infant during a wellness checkup. Which of the following is a normal developmental task for an infant this age?

Sitting without support

An 11-month-old infant with bronchopulmonary dysplasia and a tracheostomy experiences a decline in oxygen saturation from 97% to 88%. The infant appears anxious and the heart rate is 180 beats/minute. Which intervention is most appropriate?

Suction the tracheostomy tube.

The nurse is gathering data for an infant experiencing a sickle cell crisis. Which finding by the nurse is most significant to determine the state of hydration?

The infant has normal skin turgor.

A nurse is reinforcing education for parents of an infant with congenital hypothyroidism. Which statement should be included?

The severity of the disorder depends on the amount of thyroid tissue present.

When administering an oral medication to an infant, the nurse should take which action to minimize the risk of aspiration?

Using an oral syringe to place the medication beside the tongue

A 10-month-old infant with bacterial meningitis was just started on antibiotic therapy. Which nursing action is especially important in this situation?

Wear a mask while providing care.

When collecting data on an infant diagnosed with pyloric stenosis, which finding should the nurse anticipate?

decreased bowel sounds

A 3-month-old infant is admitted to the hospital to rule out nonaccidental trauma. X-ray findings indicate a fractured right humerus, fractured ribs, and a fractured left scapula. In this situation, a nurse is responsible for:

ensuring that the suspected child abuse is reported to local authorities.

The nurse cares for an infant receiving inadequate treatment for congenital hypothyroidism. Which signs or symptoms should the nurse expect to observe?

fatigue and sleepiness

In reinforcing education with the parents of an infant diagnosed with diabetes insipidus, the nurse should include which treatment?

hormone replacement

When gathering data from a neonate, the nurse notes visible peristaltic waves across the epigastrium. Which condition should the nurse suspect in this neonate?

hypertrophic pyloric stenosis

Which complications should the nurse be most concerned about in the first 12 hours of life for a neonate born with a myelomeningocele?

infection

A nurse is observing an infant with thyroid hormone deficiency. Which signs would the nurse commonly observe?

lethargy, feeding difficulties, and constipation

The nurse is monitoring an infant with bronchiolitis for dehydration. What intervention is the highest priority?

measuring intake and output

After an infant with a cleft lip has surgical repair and heals, the parents can expect to see which result?

minimal scarring

Which developmental milestone would the nurse expect an 11-month-old infant to have achieved?

sitting independently

When presenting an informational series on infant safety, which appropriate development milestone for the 4-month-old infant would the nurse stress could jeopardize the infant's safety?

turns from abdomen to back

A nurse admits an infant diagnosed with pyloric stenosis. Which nursing intervention should the nurse complete first?

weight the infant

At a previous visit, the parents of an infant with cystic fibrosis received instruction in the administration of pancrelipase. At a follow-up visit, which finding suggests the need for further teaching?

fatty stools

A nurse is reinforcing education for the parents of a 10-month-old infant on the correct method for instilling eardrops prescribed for the infant when discharged. Which statement by the parents indicates understanding?

"We should pull the earlobe down and back."

The parents of a 6 month old diagnosed with a terminal brain tumor have chosen palliative care. Which interventions will be provided for this infant? Select all that apply.

-pain management and comfort measures -parental support enabling the parents to participate in the infant's care

A nurse is caring for an infant who requires intravenous therapy. The nurse notes that the only available IV pump is in a toddler's room. In which order should the nurse complete the following actions? 1. Remove pump from toddler's room.2. Clean the pump.3. Take pump into infant's room.4. Use the pump.

1,2,3,4

The nurse would explain to the parents of a newborn with a cleft lip and palate that they will need to schedule an appointment with which specialist?

Otolaryngologist

A recent abduction of a 2-month-old infant has raised awareness of the need for security plans for hospitals. Which security measure helps ensure the hospitalized infant's security?

Placing an identification bracelet on the infant and the parent immediately on admission

A neonate born 18 hours ago with myelomeningocele over the lumbosacral region is scheduled for corrective surgery. Preoperatively, what is the most important nursing goal?

Preventing infection

While preparing to discharge a 9-month-old infant who's recovering from gastroenteritis and dehydration, the nurse teaches the parents about their infant's dietary and fluid requirements. The nurse should include which other topic in the teaching session?

Safety guidelines

An infant's parent gives a history of poor feeding for a few days. The nurse observes white plaques in the infant's mouth with an erythematous base. The plaques stick to the mucous membranes tightly and bleed when scraped. The nurse would suspect which condition?

oral candidiasis

For an infant who's about to undergo a lumbar puncture, the nurse should place the infant in:

an arched, side-lying position, avoiding flexion of the neck onto the chest.

Which plan is most appropriate for a discharge home visit to parents who lost an infant to sudden infant death syndrome (SIDS)?

as soon after death as possible

A mother brings her 2-month-old infant to the clinic for a well-baby checkup. To best assess the interaction between the mother and infant, the nurse should observe them:

as the mother feeds the infant.

An infant is diagnosed with a congenital hip dislocation. The nurse should expect to note:

asymmetrical thigh and gluteal folds.

Which intervention by the nurse would be most helpful when discussing hypospadias with the parents of an infant with this defect?

be there to listen to the parents concerns

A nurse performs cardiopulmonary resuscitation (CPR) for 1 minute on an infant without calling for assistance. In reassessing the infant after 1 minute of CPR, the nurse finds the infant still isn't breathing and has no pulse. The nurse should then:

call for assistance.

A 1-month-old infant is admitted to the pediatric unit and diagnosed with bacterial meningitis. Which findings by the nurse support the diagnosis?

fever, change in feeding pattern, vomiting, or diarrhea

An infant is examined and found to have a petechial rash. How will the nurse document this finding?

pinpoint, pink to purple, nonblanching, macular lesions that are 1 to 3 mm in diameter

The nurse is caring for an infant following the surgical repair of a cleft lip. The infant's pain is being managed effectively. What does the nurse determine is the priority goal for this client?

prevent infection

The nurse caring for an infant with pyloric stenosis should be alert for which classic sign or symptom?

projectile vomiting

A nurse is caring for a neonate with congenital hypothyroidism. Which data should the nurse anticipate ?

puff eyelids

When talking to the parents of a neonate with congenital hypothyroidism, the nurse should encourage which action?

Seek professional genetic counseling.